Checklist for a Complete Application

If you are seeking a Certified Assessment and/or Section 3 accreditation, the applicable Certified Assessment and Section 3 application form(s) must be submitted with the standard application form.

For all the scienfific planning committee (SPC) members, speakers, moderators, facilitators, and authors.

Please ensure each form has been fully completed.

The COI forms for speakers/presenters do not have to be submitted with the intial application, but they must be submitted prior to the event. It’s preferred if they are included as part of the initial application.

NOTE: The SPC must review all disclosed financial relationships before the program, to determine whether action is required to manage potential, perceived, or real COIs. The SPC must have procedures in place for if a COI comes to its attention prior to/during the program.

This may include a copy of the needs assessment tool(s) and results, survey results, meeting minutes, speaker selection methods/docs, etc.

Must be created for the overall program and for each session/activity.

Must be measurable and written from the learner’s perspective, using action verbs to state what the participants will know or be able to do after attending the event

They should start with the phrase “After this event, participants should be able to…” (or something similar).

Verbs that are open to interpretation (like “understand” and “learn”) should be avoided.

See the CFPC’s Quick Tips: Writing Learning Objectives and the RCPSC’s How to Create Learning Objectives for further details and examples.

This should include the dates, times, topics, speakers, etc.

Time for Q&A, discussion, and other forms of interactivity must be indicated.

This may be included as part of the draft brochure.

Each program is different, but this draft should usually include:

• Program and/or session title(s)
• Location(s) and date(s)
• All learning objectives (overall and session-specific).
• Detailed agenda of events (with start/end times for educational sessions, interactivity, breaks, etc.)
• Speaker, facilitator, moderator, etc. names (when applicable)
• Acknowledgement of sponsors, if applicable
• Acknowledgement of the SPC members
• Dalhousie CPDME approval statement and logo (provided in the accreditation package)
• Applicable draft credit hour statements
  • NOTE: You may not advertise your program as accredited (or that you’re seeking accreditation) until CPDME has approved the program and issued the letter of accreditation.
  • CPDME will provide the final accreditation statement(s) for your program in the letter of accreditation once the program has been approved.

Must include questions around:

• Whether the stated learning objectives were met (both overall and session-specific)
• If the content was balanced and free from commercial or other inappropriate bias
  • This question should ask if any bias was perceived and, if so, details around the perceived bias.
• The potential impact of the program for the participants’ practice/knowledge/skills
• The effectiveness of the learning activity (format, design, facilitators, relevance, etc.) including facilitation and delivery of the activity, and to what extent the instructors/facilitators were able to provide a safe, accessible, and productive learning environment

Including details on the program (e.g. overall program learning objectives, learning methods, presentation duration, Q&A/discussion duration, etc.)

Must address the applicable required topics (evidence, barriers to change, copyright, privacy, COI disclosure, and adherence to guidelines) plus any other topics required by the SPC (information on creating learning objectives is highly recommended).

Must list all anticipated expenses and sources of revenue (e.g. CPDME accreditation fee, registration fees, sponsorships, rentals, etc.)

State if there are no registration fees.

Names of commercial and non-commercial sources of funding must be listed.

If there are no fees associated with the program, a statement to this effect is required.